Individual provider Active NPI

Karina Rodriguez Valle, MSW

  • Clinical Social Worker
  • Santa Maria, CA
National Provider Identifier
1649394586
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW19020 Issued in CA
Practice address
218 Carmen LN
Ste 108
Santa Maria, CA 93458-7773
Phone
(805) 614-7272
Fax
(805) 614-7273
NPI assigned
Mar 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW19020 CA Primary

Addresses

Primary practice location

218 Carmen LN
Ste 108
Santa Maria, CA 93458-7773

Mailing address

218 Carmen LN
Ste 108
Santa Maria, CA 93458-7773
Phone (805) 929-3211

Other identifiers 1

IdentifierTypeStateIssuer
FHC70477FMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ASW19020CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Karina Valle, Licensed Clinical Social Worker, Inc. Clinical Current Accepting new patients
Karina Valle, LCSW Inc. Clinical Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511827200000",
    "number": "1649394586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 CARMEN LN",
            "address_2": "STE 108",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934587773",
            "telephone_number": "805-929-3211",
            "fax_number": "805-929-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 CARMEN LN",
            "address_2": "STE 108",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934587773",
            "telephone_number": "805-614-7272",
            "fax_number": "805-614-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLE",
        "first_name": "KARINA",
        "middle_name": "RODRIGUEZ",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-17",
        "last_updated": "2017-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW19020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70477F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.